Individual
MS. ELLEN M RUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
116 BELMONT ST, SUITE 11, WORCESTER, MA 01605-2964
(508) 334-1102
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
122
MA
Other
Enumeration date
07/14/2006
Last updated
05/26/2009
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